Northern Apache County Special Health Care District

Coronavirus (SARS-CoV-2)

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1st Dose Forms

Patient Information

COVID-19 Consent

Condition of Treatment

Patient Rights

ADHS Consent

2nd Dose Forms

Condition of Treatment

COVID-19 Consent

ADHS Consent

Moderna Vaccine Fact Sheets

Moderna What to Expect

Moderna Fact Sheet

VSafe

More Information:

Center for Disease Control (CDC)

Arizona Department of Health

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